Individual
MR. DERIC JAMES CLAYPOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
9621 NE 73RD CIR, VANCOUVER, WA 98662-3921
(360) 772-1186
Mailing address
9621 NE 73RD CIR, VANCOUVER, WA 98662-3921
(360) 772-1186
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60311713
WA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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